A reasonable HIPAA fax plan that grows: $4.99 to $16.99 with a BAA

A HIPAA online fax plan that grows from 200 to 1,000 pages a month costs $4.99 then $16.99 a month billed annually on Fax Pigeon Basic and Plus, with the signed BAA and unlimited people on both, against $10.70 then $29.50 at SRFax and $24.99 then $33.33 at iFax.

What is a reasonable HIPAA fax plan that can grow with a practice?

A reasonable HIPAA fax plan for a growing practice is Fax Pigeon Basic at $4.99 a month billed annually for 200 pages, then Plus at $16.99 for 1,000 pages, with the signed BAA and unlimited people on both. Such a plan keeps the BAA on every step of its ladder and raises the price only when pages grow. Among SRFax, eFax, iFax, WestFax, Fax.Plus and Fax Pigeon, Fax Pigeon has the lowest price with a BAA at both page counts.

What does each plan cost at 200 pages and at 1,000 pages?

Billed annually, the cheapest plan with a BAA for one person costs $4.99 a month at 200 pages and $16.99 at 1,000 on Fax Pigeon, $10.70 and $29.50 on SRFax, $24.99 and $33.33 on iFax, $33.33 and $54.16 on eFax, and $79.99 at both sizes on Fax.Plus. WestFax Solo costs $14.99 a month at 200 pages and $29.99 at 1,000 pages, billed month to month only.

The table shows the cheapest plan with a BAA for one person, as a price a month, at 200 and 1,000 pages sent and received.

Billed annually, a year at 200 pages costs $59.88 on Fax Pigeon Basic, against $128.40 at SRFax, $299.88 at iFax, $399.96 at eFax and $959.99 at Fax.Plus. A year at 1,000 pages billed annually costs $203.88 on Fax Pigeon Plus, against $354.00 at SRFax, $399.96 at iFax, $649.92 at eFax and $959.99 at Fax.Plus. Cheapest HIPAA fax with a signed BAA lists the fees each provider charges beyond the plan price.

How do you move up a plan, and what does it cost mid-cycle?

A Fax Pigeon upgrade takes effect right away and costs only the prorated difference, so a practice can move up in the middle of a billing cycle, and a downgrade takes effect at the next renewal. Fax Pigeon has six plans, Basic, Standard, Plus, Pro, Premium and Max, with allowances of 200, 500, 1,000, 2,000, 5,000 and 10,000 pages a month sent plus received. Billed annually they cost $4.99, $9.99, $16.99, $29.99, $49.99 and $159.99 a month, or $5.99, $11.99, $17.99, $33.99, $59.99 and $191.99 month to month. On Fax Pigeon Basic, Standard, Plus, Pro, Premium and Max, an extra page costs 10¢, 5¢, 4¢, 3.5¢, 3¢ and 2¢ in turn.

The table shows how each provider's ladder steps up and what moves the price, with prices a month billed annually unless a cell says month to month.

Past the plan, eFax Business charges 7 cents a page and Fax.Plus Enterprise 3 cents. iFax prints no per-page rate: once usage reaches 95% of the plan limit, its Terms of Use add credits automatically and bill them to the payment method. SRFax counts pages sent and received together.

What happens to the price when a second or third person joins?

A second or third person leaves the price unchanged at Fax Pigeon, SRFax, eFax and Fax.Plus and raises it at WestFax and iFax. Fax Pigeon puts every added colleague on the same plan and price, since unlimited people come with every plan, along with roles and assignment in the shared inbox. That holds for a solo therapist adding a biller, a counselor joining a group and a clinic adding a second clinician.

The table shows the cheapest plan with a BAA for 3 people, as a price a month, at 200 and 1,000 pages sent and received.

WestFax Solo is capped at one user, so a second person moves a practice to Team at $39.95 a month, which includes 5 users and 1,500 pages. iFax includes one user license and sells each added team license at $19.99 a user a month for 2 to 3 users, or $16.66 billed annually. iFax drops Plus from its selector once a team reaches two users, so 3 people are priced on Pro at $66.65 a month billed annually.

People do not move the price at SRFax, eFax or Fax.Plus at 3 people. Every SRFax Healthcare plan includes multiple user accounts, eFax Business covers 5 users and bills $10 a month for each one past that, and Fax.Plus Enterprise includes unlimited members.

Groups of 3 to 10 people have their own breakdown in HIPAA fax for behavioral health group practices, and HIPAA fax with unlimited users covers which services include unlimited people.

Does the BAA stay when you change plans?

The BAA stays in place on Fax Pigeon, because every plan from Basic to Max includes the BAA signed at sign-up, so an upgrade or a downgrade never moves a practice onto a plan without one. Anyone can read the Fax Pigeon BAA in full before paying.

At iFax, eFax and Fax.Plus the BAA belongs to the plan. iFax limits its free BAA to Plus and Pro subscribers, and iFax Basic carries no HIPAA terms. eFax prints the BAA on the Business plan card, and eFax Personal carries no BAA. Fax.Plus reserves its BAA for Enterprise, leaving Basic, Premium and Business without one.

WestFax includes a BAA on every plan. SRFax publishes no price for its BAA, which a practice requests through the Request a BAA link under the Healthcare plans. A move down to iFax Basic, eFax Personal or any Fax.Plus plan but Enterprise lands on a plan that carries no BAA.

HHS guidance on business associates calls for a written agreement with each business associate, a vendor that handles protected health information on the practice's behalf, so the question for any provider is which plans that agreement covers.

What should you check before you sign so the plan can grow?

A practice that expects to grow should check three things before signing: the BAA at the size it will reach, the billing term and the cost of numbers.

• The BAA at the larger size. Confirm that the BAA covers the plan at the page count the practice will reach. At 1,000 pages the cheapest plan with a BAA is SRFax Healthcare Basic Plus, eFax Business, iFax Pro, WestFax Solo, Fax.Plus Enterprise or Fax Pigeon Plus.
• The billing term. Fax Pigeon Basic is $4.99 a month billed annually, which is $59.88 a year, and $5.99 a month billed month to month, which is $71.88 a year. SRFax Healthcare Lite is $128.40 a year billed annually and $151.20 month to month, and WestFax bills month to month only.
• The cost of numbers. Fax Pigeon ports numbers in free on every paid plan, and a transfer most often takes 5 to 15 business days, with the number live at the current provider throughout. SRFax charges $25 one time to bring in a local number and WestFax $20 one time, while eFax lists $40 per number to port in, plus an administrative fee of $40 per number to port out.

Which practices should switch, and to what?

A practice on SRFax, eFax, iFax, WestFax or Fax.Plus that needs a BAA at 200 to 1,000 pages should switch to Fax Pigeon Basic, Standard or Plus. At 200 pages billed annually, Fax Pigeon Basic saves $68.52 a year against SRFax, $240.00 against iFax, $340.08 against eFax and $900.11 against Fax.Plus. At 1,000 pages billed annually, Fax Pigeon Plus saves $150.12 against SRFax, $196.08 against iFax, $446.04 against eFax and $756.00 against Fax.Plus.

A practice that adds a second or third person on WestFax or iFax should switch first, because those two ladders raise the price with people. At 200 pages, 3 people cost $33.96 a month more on WestFax than on Fax Pigeon, both billed month to month, and $61.66 a month more on iFax than on Fax Pigeon, both billed annually.

* Prices last verified October 23, 2026, at each provider's own site. Fax Pigeon is not affiliated with SRFax, eFax, iFax, WestFax or Fax.Plus.